A Nurse Who Works on an Oncology Ward Is Providing

A nurse who works on an oncology ward is providing care for a 68-year-old female patient with a diagnosis of lung cancer with bone metastases. The client is experiencing rapid weight loss and is exhibiting the signs and symptoms of malnutrition. The nurse would recognize that which of the following factors is most likely contributing to the client's malnutrition?

A) Autoimmune responses associated with acute illness are inhibiting anabolism.
B) Chronic hypoxia is precluding many of the aerobic processes required in body maintenance and repair.
C) Protein mass is being lost from the liver and other organs, and the liver is synthesizing fewer serum proteins.
D) Intestinal malabsorption is occurring as a result of tumor metastases.